Etheridge, Leslie

Etheridge, Leslie is an individual health care provider with primary practice located at 2700 Clay Edwards Dr Ste 240 , North Kansas City MO 64116-3254. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Etheridge, Leslie can be contacted via phone (816) 691-5287.

Contact Information

Primary practice address
2700 Clay Edwards Dr Ste 240 North Kansas City MO 64116-3254
Phone: (816) 691-5287
Fax: (816) 346-7690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 77104 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013033429 Missouri

Profile Details

NPI number 1417377094
LBN Legal business name Etheridge, Leslie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2014
Last updated Feb 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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